Dr. B Chp. 22 Pharm Anticonvulsants

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Created by:

dbmedical  on July 15, 2012

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Dr. B Chp. 22 Pharm Anticonvulsants

anticonvulsants drugs
Neurotin,Tagretol,Lamictal
1/13

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anticonvulsants drugs Neurotin,Tagretol,Lamictal
Purpose for anticonvulsants commonly used for the management of nerve pain associated with neuralaia, Herpes Zoster(shinges), and cancer, pain is sharp, shooting, shock-like or lightning-like
side effects of anticonvlsants sedation, dizziness and confusion, nausa, vomiting, constipation, anorexia, ataxia and unsteadiness, Hepatitis(not Lyrica), rash, stevens-johnson syndrome(Lamictal- start slow, slow titration upward), bone marrow suppression, nystagmus, diplopia(double vision) and blurred vision, gingvitis(gabapentin), weight gain and peripherial edem(pregablin
gabapentin Neurotin
carbamazepine Tegretol
lamotrigine Lamictal
Caution with anticonvulsants if used with allergies, hepatitis, cardiac and renal disease, Do Not confuse Lamictal with Lamisil
Contraindications for anticonvulsants hypersensitivity, psychiatric conditions(increased risk od suicidal thoughts), pregnancy, SA(sinostrial) and AV(atrioventricular) block Tegretol, hemolytic disorders, abrupt discontiuation
Interactons with anticonvulsantsalcohol decreases effects, antacids decrease effects with Neurotin, antineoplastics decreased effects with Tegretol, CNS depressants decreased effects with Tegretol, folic acid decreased effects with Lamictal, ACE inhibitors and Lyrica nreased risk of angioedema, antiretrovirals increased or decreased effects with Lamictal and Tegretol
Depakot (valproic acid) broad-spectrum anticonvulsant
Purpse of Depakot management of any seizure types including generalized tonic-clonic, absence and myoclonic seizures
side effects of Depakote weight gain, dyspepsia, alopecia, rash, tremor, hepatotoxicity, pancreatitis, blood dyscrasias
interactions with Depakote grbamazepine, phenytoin, phenobarital and topiramte which decreases valproic acid levels, amitriptylineand nortriptyline which increases valproic acid levels

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